We are using enluxtra in our wound clinic and LTAC facilities and two of the home health's we refer to are also carrying the product. It has been very cost effective for our Home Health's and hospice care since our dressing frequency can easily moved out to once a week dressings. In our state Texas daily and every other day dressings was extremely expensive. But with the use of enluxtra you can easily step out those dressing changes to once a week. The patient's in the LTAC's are no longer daily dressing so the nurse time and overtime is more efficient and overtime wound care nurse is minimal to none. We cut down the use of Santyl from $12,000 a month to less than $1000 not to mention decrease surgical or ANY type wound infection! Surgical incision site have decrease scar formation and decrease post- op infections. The cost is mid-range of course wet to dry is cheaper but who wants to be in a wound BID or QID. And is wet to dry really the best patient outcome? I see after each dressing change with enluxtra the wound bed flattens out inflammatory process is gone ... on a new presenting wound you can within 3-4 dressing changes have that patient going to 5 to 7 days. The large VLU wounds.... Wow! I finally make progress on those wounds and the home health's visit can go from BID to every 4 days and we are actually finally seeing wound size decrease. If you do the math on all the extra products you eliminate and daily supplies goes with daily dressings and nurse time, and infection rates, and surgical wounds dehiscence, santyl cost....less than a dollar a day is what this dressing will get down too. MId price dressing yes but it is by far the first product I can use from beginning of a wound to the end without have to change orders or have to worry if that order is sufficient and working in 1 week or 2 weeks as the wound environment changes... the dressing adapts to the wounds needs. And if you are not using on top of your skin substitutes you are not truly seeing the best outcomes of graft placement. Patients love it decrease pain, odor elimination, wet leaky dressing problems gone!